Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 37982 | NC |
NPI | 1184739559 |
---|---|
Provider Name | Dr. Steven Mark Zoellner |
First Address | Pinehurst, NC 28374 |
Second Address | Pinehurst, NC 28374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 25/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
213859A | (02) | NC |
8989824 | (05) | NC |
D92987 | (02) | NC |